<%@include file="/WEB-INF/common/taglibs.jsp"%>
<script type="text/javascript" src="${ctx}/resources/theme/supr/plugins/forms/togglebutton/jquery.toggle.buttons.js"></script>
<script type="text/javascript" src="${ctx}/resources/theme/supr/plugins/forms/dualselect/jquery.dualListBox-1.3.min.js"></script>
<script>
$(document).ready(function(){
 	$.configureBoxes();
 }
 );

</script>
<div class="row-fluid">

	<div class="span12">

		<div class="page-header">
			<h4>Facility Category </h4>
		</div>

<form class="form-horizontal seperator" method="post">
<!--name --><div class="form-row row-fluid"><div class="span12"><div class="row-fluid"><label class="form-label span3" for="name">Name  :</label><input class="span4" id="name" name="name"   type="text" value="${entity.name}" /></div></div></div>
<!--country --><div class="form-row row-fluid"><div class="span12"><div class="row-fluid"><label class="form-label span3">Country  :</label><div class="span4 controls"><select name="country"><c:if test="${not empty counties}"><c:forEach var="single" items="${counties}"><option value="${single}"${(single == entity.country)?'selected':'' }>${single}</option></c:forEach></c:if></select></div></div></div></div>
<!--day --><div class="form-row row-fluid"><div class="span12"><div class="row-fluid"><label class="form-label span3" for="day">Day :</label><input class="span4 datepicker" id="day" name="day" type="text" value="<fmt:formatDate pattern="yyyy-MM-dd" value="${entity.day}" />" /></div></div></div>

 


 



 <div class="form-row row-fluid">
				<div class="span12">
					<div class="row-fluid">
						<div class="form-actions">
							<div class="span3"></div>
							<div class="span4 controls">
								<button type="submit" class="btn btn-info marginR10">Save
									changes</button>
								<button class="btn btn-danger">Cancel</button>
							</div>
						</div>
					</div>
				</div>
			</div>
		</form>

	</div>
	<!-- End .span12 -->

</div>
<!-- End .row-fluid --> 

